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本文引用的文献

1
Activity of the sympathetic nervous system and renin-angiotensin system assessed by plasma hormone levels and their relation to hemodynamic abnormalities in congestive heart failure.通过血浆激素水平评估交感神经系统和肾素-血管紧张素系统的活性及其与充血性心力衰竭血流动力学异常的关系。
Am J Cardiol. 1982 May;49(7):1659-66. doi: 10.1016/0002-9149(82)90243-0.
2
Regional blood flow response to orthostasis in patients with congestive heart failure.
J Am Coll Cardiol. 1983 Jun;1(6):1391-5. doi: 10.1016/s0735-1097(83)80041-2.
3
Plasma norepinephrine as a guide to prognosis in patients with chronic congestive heart failure.血浆去甲肾上腺素作为慢性充血性心力衰竭患者预后的一项指标。
N Engl J Med. 1984 Sep 27;311(13):819-23. doi: 10.1056/NEJM198409273111303.
4
Acute and long-term response to an oral converting-enzyme inhibitor, captopril, in congestive heart failure.口服转换酶抑制剂卡托普利对充血性心力衰竭的急性和长期反应。
Circulation. 1980 Jul;62(1):35-41. doi: 10.1161/01.cir.62.1.35.
5
Treatment of refractory heart failure with infusion of nitroprusside.硝普钠输注治疗难治性心力衰竭。
N Engl J Med. 1974 Sep 19;291(12):587-92. doi: 10.1056/NEJM197409192911201.
6
Vasodilator therapy for heart failure. The influence of impedance on left ventricular performance.心力衰竭的血管扩张剂治疗。阻抗对左心室功能的影响。
Circulation. 1973 Jul;48(1):5-8. doi: 10.1161/01.cir.48.1.5.
7
Beneficial effects of vasodilator agents in severe mitral regurgitation due to dysfunction of subvalvar apparatus.
Circulation. 1973 Oct;48(4):684-90. doi: 10.1161/01.cir.48.4.684.
8
Role of the renin-angiotensin system in the systemic vasoconstriction of chronic congestive heart failure.肾素-血管紧张素系统在慢性充血性心力衰竭全身血管收缩中的作用。
Circulation. 1978 Nov;58(5):763-70. doi: 10.1161/01.cir.58.5.763.
9
Nitrate therapy for congestive heart failure.用于充血性心力衰竭的硝酸盐疗法。
JAMA. 1978 Aug 4;240(5):443-6.

扩张型心肌病的血管扩张剂治疗

Vasodilator therapy of dilated cardiomyopathy.

作者信息

Cohn J N

出版信息

Postgrad Med J. 1986 Jun;62(728):599-600. doi: 10.1136/pgmj.62.728.599.

DOI:10.1136/pgmj.62.728.599
PMID:3774700
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2418788/
Abstract

Vasoconstriction increases impedance to ventricular ejection and impairs the performance of the dilated myopathic heart. Vasodilator drug therapy by reducing vascular resistance, increasing vascular compliance and increasing vascular capacitance improves cardiac function and relieves the signs and symptoms of congestive heart failure. Earlier intervention in an attempt to alter the natural history of cardiomyopathy should be studied.

摘要

血管收缩会增加心室射血的阻力,并损害扩张型心肌病心脏的功能。血管扩张剂药物治疗通过降低血管阻力、增加血管顺应性和增加血管容量来改善心脏功能,并缓解充血性心力衰竭的体征和症状。应该研究早期干预以试图改变心肌病自然病程的情况。